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Quantum-Enhanced CNN for Multi-Class Retinal Disease Classification from OCT Images

Lovish Bhatia, Shreyansh Gupta, Rizil Patel, Vinay Shankar Pandey

Published Mar 20, 2026• 0 citations
Publisher

Abstract

Abstract This study demonstrates that a hybrid CNN–QNN architecture outperforms classical CNNs for multi-class retinal OCT classification by leveraging variational quantum circuits to enhance feature separability. Early detection of retinal diseases through optical coherence tomography (OCT) imaging is critical for timely intervention and vision preservation. While classical convolutional neural networks (CNNs) excel at pattern recognition in retinal OCT B-scans, their ability to capture complex, non-linear feature relationships in subtle disease manifestations remains limited. Hybrid quantum-classical architectures offer a promising approach by leveraging variational quantum circuits to enhance feature separability in challenging classification regimes. This study presents a hybrid CNN–QNN architecture for multi-class classification of retinal OCT images dataset (CNV, DME, DRUSEN, NORMAL). A classical CNN backbone extracts hierarchical spatial features from B-scans, which are then processed through parallel classical and quantum classification heads. The quantum head employs a 5-qubit variational quantum circuit with angle embedding and strongly entangling layers to generate quantum-enhanced feature representations. Outputs from both heads are concatenated and passed through a final softmax layer for four-class prediction. The findings establish hybrid quantum-classical neural networks as a viable enhancement to conventional deep learning for retinal OCT analysis, offering improved discriminative performance on established medical imaging benchmarks through quantum feature transformations.

DOI
10.21203/rs.3.rs-9170670/v1

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Deep learning techniques have significantly enhanced medical image classification for disease diagnosis. However, traditional deep learning models face several challenges, such as dependence on large annotated datasets, complex architectural layers, and millions of trainable parameters, which can increase computational load and cause overfitting. Although quantum computing offers potential for parallel processing and improved feature representation, its practical use is limited by the current capabilities of Noisy Intermediate-Scale Quantum (NISQ) hardware. To overcome these issues, Hybrid Quantum–Classical Convolutional Neural Networks (HQCNNs) have been developed, using quantum properties like superposition and entanglement to improve feature extraction and classification of medical images. This review offers a thorough analysis of 50 peer-reviewed studies published from 2021 to 2026 and introduces a taxonomy of HQCNN architectures. It classifies existing approaches into three categories: Quantum-to-Classical, Classical-to-Quantum, and Hybrid Quantum Transfer Learning. The studies reviewed encompass a diverse range of medical imaging applications, including binary and multi-class disease classification using X-ray, CT, MRI, ultrasound, dermoscopic, retinal, and mammographic images. Additionally, the review compares HQCNNs with their classical CNN counterparts, exploring how factors like quantum circuit design, dataset size, class imbalance, task complexity, evaluation protocols, and hardware limitations influence classification performance. It concludes with an analysis of the key limitations of current HQCNN models, discusses challenges in deploying NISQ devices practically, and proposes future research directions to bridge the gap between experimental HQCNN frameworks and reliable clinical diagnostic systems.